Vaccinations Flashcards
What book provides information about commonly used vaccines and diseases they prevent?
What about for international travelers?
Pink book
Yellow book
Can all vaccines be given at the same time?
Yes, all vaccines can as long as you separate injection sites
What influenza vaccine(s) can be given at 6 months?
Fluzone quad
Afluria IM
What influenza vaccines can be given starting at 18y.o?
Afluria (needle-free)
Flublock
What influenza vaccine can be given starting at 65y.o?
Fluzone HD
Fluad
What influenza vaccine can be given if egg allergy and what is the age?
ANY
Which influenza vaccine is live and what is the age? What is the dose?
Flumist
2-49y.o
2-8y.o - 0.2mL dose and repeat in a month
9-49y.o - 0.1mL in each nostril
When do you give two doses of influenza vaccine?
6months-8y.o previously unvaccinated receive 2 doses separated by 4 weeks
What makes you contraindicated to get the influenza vaccine?
Guillain-barre syndrome
Allergy to thimerosal
What age do you give the pneumococcal vaccine?
> 6 weeks
What are the four pneumococcal vaccines? What brand name and age?
They are all IM, but which one is subQ?
PCV 15 - Vaxneuvance - >6 wks
PCV 20 - Prevnar 20 - >6 weeks
PCV21 - Capvaxive - >18y.o
PPSV23 - Pneumovax - >2 y.o - IM and SUBQ
What are the options for pneumococcal vaccines for 19-50 who haven’t had it yet?
PCV 20 or PCV 21 alone
OR
PCV15 then PPSV23 a year later
What are the hepatitis B vaccines?
When do you give it?
Engerix-B / Recombivax -B - at birth before discharge (0, 1, and 6 months)
Heplisav - >18y.o
Prehevbrio - >18y.o
do you give the hep B vaccine after 60 y.o?
Yes, if they are high risk
CLD, sexually active, IVD ,
What do you give to baby if mom is Hep B positive ?
Hepatitis B immune globulin and hep B vaccine at the same time within 12H of birth
Brand name of hepatitis A vaccines
When and how much to give?
How is it transmitted?
Havrix
VAQTA
2 doses 6 months apart starting at 1y.o
Via fecal-oral route
What is the DTaP?
ROA?
Storage?
Who is it for? and how many doses?
When is it contraindicated?
Tetanus
Diptheria
Pertussis
IM
Fridge
Only for infants and not past 7 y.o
5 doses - 2,4,6,18 months and 4-6 y.o
Kids with encephalopathy or neurological problems
When do you give the Tdap booster?
11-12 y.o after completed DTap series
Then every 10 years (can give Tdap or Td)
Brand name of DTaP?
Brand name of TdaP?
Daptacel
Infanrix
Adacel
Boostrix
When do you give the tdap vaccine in pregnancy? Do you repeat with each pregnancy?
In third trimester (27-36 weeks)
Yes repeat because its protecting the baby not her
MMR
ROA - why?
Storage
Brands
When to give
How many doses?
SubQ because it is live
Fridge or freezer
MMRII / Priorix
1 y.o
2 doses at 1 year then 4-6 year
Contraindications of MMR?
Pregnancy, immunocompromised, neomycin or gelatin allergy . severe thrombocytopenia
Can you give MMR to HIV patients?
Can give to HIV but not AIDS (CD4 <200)
What is ProQuad? Where is it stored?
MMR and Varicella
In freezer or fridge for up to 72 hours before reconstitution
What is variZIG?
Immune globulin (IM)
Not a vaccine
Varicella
Brand
ROA
When to give
How many doses
Storage
Varivax
SubQ because it’s live
1 y.o
2 doses
Freezer
Polio
Brand
ROA
Doses
When to give
IPOL
IM/SC but it is not live
4 doses
2,4,6 m then 4-6 y.o
What is Kinrix / Quadracel ? What age?
DtaP - IPOL
4-6 years old , 1 dose
H. Influenza B (HiB)
What does it protect against
When to give
Doses
Brand
Meningitis, pneumonia, epiglottis
2 months - 5 years
ActHIB - 4 doses
Hiberix - 4 doses
Pedvax HIb - 3 doses
Meningococcal
Brand
Age
Menveo - 2mon - 55y.o
Menquadfi - >2 y.o
What is trumenba / Bexsero?
Only protect against men.B
An additional coverage
When do you give meningococcal vaccine?
All adolescents 11-18 y.o , unless high risk then give at 2 months
Then a booster at 16y.o
Then another if they are in a crowded area, like a dorm, military, HIV, spleen injury
HPV vaccine
Brand
When to give and how many doses and ROA
Gardasil 9
9-45 y.o (recommended at 11-12)
9-14y.o - 2 or 3 dose IM
15-45 - 3 dose
Shingles vaccine
Brand
Who
Doses / ROA
Storage
Do you give if they had shingles? What about zostavax?
Shingrix
Patients >50 y.o or >18y.o if immunocompromised
2 doses , 2-6 months apart IM
Fridge
Yes still give it for both situations
Rotavirus
A common cause of..
Brand
When
Doses / ROA
Storage
Viral gastroenteritis
Rotarix - live, ORAL , 2 doses, at 6 weeks and 10 weeks
RotaTeq - live, ORAL, 3 doses at 2,4, and 6 months
Refrigerator
Ixiaro
Covers?
When
Who
Doses
ROA
Japanese encephalitis vaccine transmitted by mosquitos
> 2 months , 2 doses IM 28 days apart , 1 week prior to travel
Typhoid
Caused by?
Types of vaccines
When,
Who
ROA
Doses
Storage
Salmonella typhi
Typhim Vi - inactivated, > 2y.o , x 1 dose
Vivotif - LIVE , > 6y.o , 1 CAPSULE every other day x 4 doses on empty stomach
Fridge
Yellow fever
Transmission
Who
When
Doses / ROA
Cautions
Via mosquitos
> 9months
1 dose SC (because its live)
Egg allergy, pregnant women, immunosuppressed
Rabies
Brand
Doses
RabAver, Imovax,
2 doses for prophylaxis 7 days apart
Kedrab - Immune globulin for POST exposure - 4-5 doses over 2-3 weels
What are the components of
TwinRix
Proquad
Kinrix/quadracel
Pediarix
Pentacel
- HepA and hepB
- MMR and varicella
- DTap + IPV
- DTap + hepB + IPV
- DTap + Hib + IPV
What are the three vaccines that must be given to patients who had damage to spleen or a splenectomy?
Pneumococcal
HiB
Meningococcal
What are fridge and freezer temps/?
fridge - 36-46 F or 2-8 C
Freezer - -58 to 5 F or -50 to -15 C
What are three vaccine recommendations for diabetes patients
Pneumococcal
Influenza
Heb B (19-59 y.o)
What gauge vaccine for IM vaccines?
Where do you give vaccine up to 2 y.o?
What needle length for <130lbs?
> F200lbs , M >260?
22-25
Side of the thigh
5/8 - 1 inch
1.5 inchWh
What gauge and needle length for subQ?
23-25G
5/8 inch
